AccountId: 011433970860 ContactId: 9ae41e14-a35f-433f-909b-dfe6e7340c30 Channel: VOICE LanguageCode: en-US Total Conversation Duration: 278869 ms Total Talk Time (AGENT): 99307 ms Total Talk Time (CUSTOMER): 54399 ms Interruptions: 0 Overall Sentiment: AGENT=0.4, CUSTOMER=1.7 Redaction Types: PII Input Audio S3: s3://apl-connect-contactcenter-data-prod/connect/apl-prod/CallRecordings/2025/06/16/9ae41e14-a35f-433f-909b-dfe6e7340c30_20250616T13:40_UTC.wav -------------------------------------------- [AGENT][NEUTRAL] Thank you for calling APL. This is [PII]. How can I help you? [CUSTOMER][NEUTRAL] Hi, good morning. My name is [PII]. I'm calling from Baptist Outpatient Services. Um, just wanted to check the. [CUSTOMER][NEUTRAL] The amount on uh on a patient that he had for the outpatient services. [AGENT][NEUTRAL] Hey, can I get a good callback number in case we get disconnected? [CUSTOMER][NEUTRAL] It is [PII]. [AGENT][NEUTRAL] What's the policy number? [CUSTOMER][NEUTRAL] It is 01659124 ML8. [AGENT][NEUTRAL] Give me just a moment to look that up. [AGENT][NEUTRAL] Can I get you to verify the patient's name and date of birth for me, please? [CUSTOMER][NEUTRAL] It is [PII]. [CUSTOMER][NEUTRAL] And then the date of birth is [PII]. [AGENT][POSITIVE] OK, thank you for verifying that with me. [AGENT][NEUTRAL] And you were wanting to know about their benefits? [CUSTOMER][NEUTRAL] Yeah, for outpatient services. [AGENT][NEUTRAL] OK. [AGENT][NEUTRAL] Give me just a moment. [AGENT][NEUTRAL] OK, the policy number you gave me is no longer active. Would you like their new policy number? [CUSTOMER][POSITIVE] Yes, please if you have it. [AGENT][NEUTRAL] OK, it's 02505660. [CUSTOMER][POSITIVE] OK perfect. [AGENT][NEUTRAL] And that has an effective date of [PII]. [AGENT][NEUTRAL] Let me pull up their uh. [AGENT][POSITIVE] Their benefits and I can go go over some of the uh outpatient services with you. [CUSTOMER][NEUTRAL] OK. [AGENT][NEUTRAL] OK, and this is just a verification of benefits and not a guarantee of payment. [AGENT][NEUTRAL] It looks like they have an outpatient benefit maximum of up to $2500 per calendar year. [AGENT][NEUTRAL] With a $0 outpatient deductible. [AGENT][NEUTRAL] This will cover office treatments, office visits in a physician's office or a specialist office. Um, is there anything in particular you are needing information on? [CUSTOMER][NEUTRAL] Um, patients coming here for an MRI. [AGENT][NEUTRAL] OK. It looks like we do cover MRI's, diagnostic testing, and a hospital outpatient facility or an MRI facility. They're subject to a maximum of 30 days of treatment per calendar year. [CUSTOMER][POSITIVE] OK, perfect. Have they met any of the of the 2500 of calendar year? [AGENT][NEUTRAL] [PII]. [CUSTOMER][NEUTRAL] Uh [AGENT][NEGATIVE] Looks like she's only used. [AGENT][NEUTRAL] $110. [CUSTOMER][POSITIVE] OK, perfect. [CUSTOMER][NEUTRAL] OK [PII], that will be all for me. Do you have a reference number for our call? [AGENT][NEUTRAL] So we don't have call reference numbers you can use my name and last initial in today's date. So [PII] in today's date. [CUSTOMER][POSITIVE] Perfect thank you so much I appreciate your help today you have a great day. [AGENT][POSITIVE] Thank you for calling ATL. You have a great day too. [CUSTOMER][NEUTRAL] Bye bye.